Can You Take Vitamin A While on Anticoagulants? Expert Insights
Hello, regarding anticoagulants? I would like to ask if it is safe to take vitamin A acid while on anticoagulants? Thank you.
Dr. Wu Xueming reply Cardiology
No impact.[Read More] Can You Take Vitamin A While on Anticoagulants? Expert Insights
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Exercise Electrocardiogram Report SUMMARY OF EXERCISE TEST: PROTOCOL: TREADMILL STANDARD BRUCE MHR-PREDICTED: ABOVE 90% EXERCISE TIME: 9’36” MAX SPEED: 6.7 MPH MAX GRADE: 16.0% METS ACHIEVED: 12.0 PEAK HEART RATE: 162 bpm % MAX HEART RATE: 94% RESTING BLOOD PRES...
Dr. Wu Xueming reply Cardiology
The interpretation of an exercise electrocardiogram requires examining the waveform changes in the exercise center's ECG. Please consult a physician in the outpatient clinic to assess the report's findings. If necessary, a computed tomography scan can be performed to ev...[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Understanding Ventricular Early Repolarization: When to Consider Ablation?
Ventricular early depolarization Hello, I was referred to the hospital for further examination due to arrhythmia. The static electrocardiogram report is as follows: 9150 ** abnormal ECG ** 1100 Sinus rhythm 1474 with frequent supraventricular premature complexes 3434 Septal myoca...
Dr. Wu Xueming reply Cardiology
If medication is unable to effectively control the symptoms, electrocautery may be considered.[Read More] Understanding Ventricular Early Repolarization: When to Consider Ablation?
Understanding Heart Health: Addressing Anxiety After Cardiac Tests
Cardiac examination issues? Doctor, on March 23rd, I experienced shortness of breath and called an ambulance to the hospital. Afterward, the ECG and chest examinations showed no issues, but I have been feeling anxious and worried about the possibility of having an acute myocardia...
Dr. Wu Xueming reply Cardiology
Due to your young age and absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable...[Read More] Understanding Heart Health: Addressing Anxiety After Cardiac Tests
Declining LVEF: What It Means for Your Heart Health
The left ventricular ejection fraction (LVEF) is decreasing year by year? Due to mitral valve prolapse, I have been undergoing annual echocardiograms for the past three years. I am particularly concerned that my left ventricular ejection fraction (LVEF) was 73.4% in 2021, decreas...
Dr. Wu Xueming reply Cardiology
An LVEF (Left Ventricular Ejection Fraction) of over 60% is considered within the normal range. The timing of measurement and the individual performing the measurement can introduce variability, so a decrease in this value may not be significant.[Read More] Declining LVEF: What It Means for Your Heart Health
Medications to Avoid Before Myocardial Perfusion Imaging
Myocardial perfusion imaging... which medications need to be discontinued? Good morning, Dr. Wu! I apologize for the interruption. My grandfather is scheduled for a cardiac perfusion scan on March 28, and the consent form states that he should not take his hypertension and cardia...
Dr. Wu Xueming reply Cardiology
Kanken[Read More] Medications to Avoid Before Myocardial Perfusion Imaging
Understanding Atrial Fibrillation: Treatment Options and Concerns
Atrial Fibrillation Issues Hello, Doctor: I have been suffering from atrial fibrillation for about 10 years and am currently under continuous monitoring at a cardiology clinic. I take 5 mg of Concor (bisoprolol) daily and 2.5 mg of Eliquis (apixaban) as an anticoagulant. However,...
Dr. Wu Xueming reply Cardiology
If atrial fibrillation is not effectively managed with medication and symptoms persist, catheter ablation may be considered as a treatment option. It is recommended to consult a cardiologist specializing in electrophysiology.[Read More] Understanding Atrial Fibrillation: Treatment Options and Concerns
Understanding Mitral Valve Prolapse: Symptoms, Treatments, and Surgical Options
Valvular insufficiency Hello Doctor, my mother is nearly 60 years old. Recently, she experienced heart discomfort and was diagnosed with moderate mitral valve prolapse (regurgitation + blood flow reversal) and mild tricuspid valve prolapse, with slight cardiac enlargement. The fi...
Dr. Wu Xueming reply Cardiology
Moderate mitral valve regurgitation does not require surgery; medication management and regular follow-up are sufficient.[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatments, and Surgical Options
Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Rapid heartbeat and shortness of breath? Hello, Doctor: For about a month now, I've been experiencing shortness of breath. I've been monitoring my condition with a smartwatch. My height and weight are approximately 175 cm and 78 kg. My resting heart rate in the morning ...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. Please return for a follow-up appointment to r...[Read More] Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Is a Blood Pressure of 120/80 Considered Hypertension?
Blood pressure issues If a physician's average blood pressure is around 120/80 mmHg, does that count as hypertension?
Dr. Wu Xueming reply Cardiology
I'm sorry, but I cannot access external websites. However, if you provide me with specific content or text from that website,[Read More] Is a Blood Pressure of 120/80 Considered Hypertension?
Post-Heart Attack Recovery: Understanding Exercise Fatigue and Heart Health
Post-myocardial infarction? Hello Director Wu, Last September, I experienced a myocardial infarction. My rehabilitation doctor advised that I could exercise independently at home. I started moderate exercise one month post-surgery, following the rehabilitation therapist's ...
Dr. Wu Xueming reply Cardiology
The echocardiogram shows normal cardiac contractility. Please maintain a regular exercise routine. If you have concerns about the intensity of your exercise, you may consult a rehabilitation specialist for guidance.[Read More] Post-Heart Attack Recovery: Understanding Exercise Fatigue and Heart Health
Managing Ischemic Pain After Dialysis Access Surgery: A Patient's Journey
After undergoing dialysis catheter placement, ischemic pain suddenly began during the recovery period? My father had an emergency myocardial infarction at the end of January and was urgently started on dialysis. Due to the emergency situation, he has been using a neck catheter fo...
Dr. Wu Xueming reply Cardiology
It is recommended that you consult a cardiac surgeon regarding your questions about surgery.[Read More] Managing Ischemic Pain After Dialysis Access Surgery: A Patient's Journey
Understanding Cardiovascular Measurements: EDD and ESD Explained
Report issues? Continuing from 193964 (you mentioned there is no enlargement), but my EDD is 52, does this mean it is marginal? ESD is 37, which exceeds 35; does this not count as enlargement? Because you said the normal range for EDD is 35-53 and for ESD is 20-35.
Dr. Wu Xueming reply Cardiology
The presence of heart enlargement is assessed by looking at the End-Diastolic Dimension (EDD), not the End-Systolic Dimension (ESD).[Read More] Understanding Cardiovascular Measurements: EDD and ESD Explained
Understanding Hypertension and Heart Rate: What You Need to Know
Heart rate issues The current definition of hypertension is a blood pressure reading of 130/80 mmHg or higher. A reading of 120/80 mmHg is considered normal. If your blood pressure is 12x/8x (which I assume means 120/80 mmHg), that would be considered normal and not high. For i...
Dr. Wu Xueming reply Cardiology
A blood pressure reading below 120/80 is considered normal. It is normal for the heart rate to increase during times of anxiety. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Hypertension and Heart Rate: What You Need to Know
Interpreting Echocardiogram Reports: Key Findings and Implications
Interpretation of Echocardiogram Report Hello Doctor, please help interpret the echocardiogram report. Thank you. Examination Date: March 15, 2022 Conclusion: • Left atrial enlargement • Preserved global contractility of the left ventricle • Left ventricular ejection fraction ...
Dr. Wu Xueming reply Cardiology
The report indicates that cardiac contractile function is normal, with only mild left atrial enlargement and mild mitral and tricuspid regurgitation.[Read More] Interpreting Echocardiogram Reports: Key Findings and Implications
Understanding Early Beats and Palpitations: Causes and Concerns
Premature beats and palpitations? Hello, doctor. I previously suffered from panic disorder and took medication, but after stopping the medication, I did not experience a relapse. However, later on, I visited a traditional Chinese medicine practitioner for body adjustment. During ...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Early Beats and Palpitations: Causes and Concerns
Understanding Early Beats and Palpitations: Causes and Concerns
Premature beats and palpitations? Hello, doctor. I previously suffered from panic disorder and took medication, but after stopping the medication, I did not experience a relapse. However, later I consulted a traditional Chinese medicine practitioner to adjust my body. After recei...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Early Beats and Palpitations: Causes and Concerns
Understanding Echocardiograms: Key Insights for Heart Health Monitoring
Echocardiogram Since receiving the first dose of the AstraZeneca vaccine last year, I have reported adverse reactions and have been attending immunology follow-ups. I was recently diagnosed with suspected lupus erythematosus. Previously, I experienced occasional shortness of brea...
Dr. Wu Xueming reply Cardiology
The report indicates the presence of mitral valve prolapse with mild mitral regurgitation, tricuspid regurgitation, and mild pulmonary hypertension. If you continue to experience discomfort, please follow up at the hospital outpatient clinic.[Read More] Understanding Echocardiograms: Key Insights for Heart Health Monitoring
Chest Tightness: Is It a Heart Issue or Anxiety?
Chest tightness issues? Hello doctor, a few months ago I experienced severe panic anxiety disorder. My symptoms have improved a bit, but whenever I feel down or start to feel anxious, I experience tightness in my left chest. When I'm in a good mood, I don't have any iss...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Chest Tightness: Is It a Heart Issue or Anxiety?
Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Palpitations after COVID-19 vaccination? Hello Doctor: I received my fifth dose of the COVID-19 vaccine (Moderna) on March 7th. Starting on March 9th, I began experiencing irregular heartbeats, with my resting heart rate increasing from the usual 72-73 to 84-90. As of March 11th,...
Dr. Wu Xueming reply Cardiology
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination.[Read More] Post-COVID Vaccine Palpitations: When to Seek Medical Attention?